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25 Cards in this Set

  • Front
  • Back

What produces amniotic fluid

Fetal kidneys


Skin


Tissues


Membranes are

What fetal structures help remove amniotic fluid

GI/GU tract


Lungs


Membranes


Cord

Functions of amniotic fluid

Protects


Regulates pressure and temperature


Essential for fetal developement such as lung development


Reservour for metabolites


Prevents adherent to membranes

What can AF echogenic foci be

Vernix caseosa


Cellular debris

AFI increases up to

28 wks

AFI slowly decreses after

28 wks

AFI peaks at

24-28 wks

Normal AFI range

5-22 cm

What is MVP AFI

Maximum vertical pocket



Measure the deepest pocket in AP

Normal MVP AFI

2-8 cm

Oligo is associated with

DRIPPP

DRIPPP

Demise


Renal issues


IUGR


Post dates


PROM


Pre-eclampsia /eclamsia

Poly is when

AFI >22


MVP AFI> 8

Oligo is when

AFI <5 cm


MVP AFI <2 cm

Causes of poly

Fetal


Maternal

Fetal causes for poly

CNS anomalies


GI anomalies


Facial clefts masses


Fetal hydrops


TTTS


Sacrococcygeal teratoma


Skeletal dysplasia

Maternal causes for poly

Gestational diabetes


Rh incompatibility

Rate of complication from amniocentesis

.5%

When is amnio performed

16 wks

Why is amnio done late in the 2nd and 3rd trimester

To check for lung maturity

What is LS ratio

Lecithin/ sphingomyelin ratio


To asses lung maturity through amnio

Normal LS ratio- lung maturity

>2:1

What is PG

Phosphatidylglycerol


Appears at 35 wks - shows lung maturity

Presence of PG in amniotic fluid shows

Lung maturity


Good finding

What is the most accurate method to check for lung maturity?

LS ratio